Individual
WILLIAM PAUL BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4095 E PONY EXPRESS PKWY STE 1, EAGLE MOUNTAIN, UT 84005-5531
(801) 429-8037
(801) 753-7476
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11705830-1205
UT
207Q00000X
Family Medicine Physician
18521
HI
Other
Enumeration date
05/03/2013
Last updated
11/27/2023
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